異所性妊娠の管理における子宮内容除去術の有効性に関する検討

抄録

　We investigated the role of an aggressive approach using dilation and curettage (D&C) prior to laparoscopic surgery to avoid unnecessary surgery in patients in whom ectopic pregnancy is indistinguishable from intrauterine miscarriage.

The study included 84 patients diagnosed with suspected ectopic pregnancy over 2 years from April 2017. D&C was performed prior to laparoscopic surgery in 21 of the 84 patients.

　The rate of change of serum human chorionic gonadotropin levels on the day following D&C was significantly higher in the ectopic pregnancy group than in the miscarriage group (10.9±18.4 vs. -53.1±12.5%, P<0.001).

　Aggressive D&C could be considered a useful approach to distinguish between ectopic pregnancy and miscarriage to avoid unnecessary laparoscopic surgery in these patients.